Organization
RIGHTEOUS PATH CARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN REDMOND (OWNER)
(480) 793-5485
Entity
Organization
Contact information
Practice address
7224 W SOPHIE LN, LAVEEN, AZ 85339-3476
(480) 793-5485
Mailing address
7224 W SOPHIE LN, LAVEEN, AZ 85339-3476
(480) 793-5485
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
AHCCCS
AZ
Enumeration date
09/24/2024
Last updated
09/25/2024
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